Migration and slipping of metal clips after celioscopic cholecystectomy.
Publication/Presentation Date
12-1-1993
Abstract
Most surgeons performing in laparoscopic cholecystectomy have opted for the use of metal clips to secure the cystic duct before division. Accordingly, we have been using double proximal clipping of the cystic duct for our patients. Certain disadvantages of clips are well known, among them, their ability to slip. We report one case of clip migration into the common bile duct, which led to obstructive jaundice. The clip was recovered after endoscopic sphincterotomy. Slipping of the second metal clip lead to biliary peritonitis necessitating surgical drainage. The case presented raises the question of whether suture ligation of the proximal end of the cystic duct should be preferred to clipping.
Volume
3
Issue
6
First Page
487
Last Page
488
ISSN
1051-7200
Published In/Presented At
Arnaud, J. P., & Bergamaschi, R. (1993). Migration and slipping of metal clips after celioscopic cholecystectomy. Surgical laparoscopy & endoscopy, 3(6), 487–488.
Disciplines
Medicine and Health Sciences
PubMedID
8269271
Department(s)
Department of Surgery
Document Type
Article